Medicaid Claims Processing Remote Jobs in Oregon

Alera Group is looking for a Workers Compensation Claims Consultant. We are seeking highly motivated colleagues who bring experience and enthusiasm to our team – joining us may be the perfect fit for you!  

Founded in 2017, Alera Group has grown to become the 14th largest broker of U.S. business. We are passionate about our clients’ success in Employee Benefits, Property & Casualty Insurance, and Financial Services. With offices nationwide, our collaborative approach allows us to deliver national strength with local service.

Primary Role:

The WC Claims Consultant’s role is to work effectively with our clients building solid relationships and retaining business. The WC Consultant works with all sales executives, internal staff in commercial lines departments, and externally with our clients, carriers and vendors. Service timeline focus is on larger valued or 360 Clients for onboarding new accounts and establishing claims services with their carrier/TPA/applicable vendors, providing claims oversight, employer training, and scheduling claim reviews and various presentations.

Duties also include providing claims service for all clients providing technical expertise and servicing as an advocate on client WC claim issues. WC Claims Consultants work independently with clients and their carrier/TPA consulting on large reserves, coverage issues, return to work issues, settlements, and other items that have a significant impact on retention and premiums. They may also present to prospects and clients at renewals, stewardship meetings and claim reviews.

• Contact with clients, carrier and TPA claims adjusters, internal customers, and vendors on regular basis to serve as advocate, liaison, mediator, resource & problem solver
• Prepare, coordinate & present claim reviews, risk analysis, status spreadsheets and other claim meetings as requested
• When coverage issues arise, will research potential solutions through a review of client’s policies and then advocate on client's behalf with carrier
• Participate with or without sales executives in presentations to current clients, prospects, proposals, and RFP presentations
• Documentation and diary maintenance on key claims in Sagitta and ImageRight
• Function as back-up for other WC Claims Team members
• Provide assistance to clients seeking to enhance their return-to-work programs and light duty return to work opportunities
• Provide claims management training, “WC 101” to clients to educate them on the claims process.
• Strong attention to detail, dependability, and ability to follow through on tasks.
• Proficiency in Sagitta, ImageRight, claims functions, carrier websites, and MS Office (Word, Excel, Outlook, PowerPoint)
• Excellent oral and written communication skills, including public speaking and presenting to groups.
• Washington and/or Oregon Agent’s License with at least 5 years of experience in commercial, personal multiline, and workers' compensation claims
• Expertise in complex loss analysis and commitment to continued insurance education (e.g., INS, AIC, SCLA, CPCU, CCM)

· Minimum 5 years claims experience related to Workers’ Compensation

· Proficient in complex loss analysis

· Familiarity with and experience in WC claims litigation

· Continued pursuit of professional designations (e.g., INS, AIC, SCLA, CPCU, ARM)

**California and Oregon experience preferred**

Alera Group offers comprehensive benefits to our colleagues, including medical, dental, life and disability insurance, 401k, generous paid time off and much more. 

Salary range is $80K to $110K per year.

We are anequal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status, or any other protected class. 

If you're a California resident, please read theCalifornia Consumer Privacy Actprior to applying. 

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• Contact with clients, carrier and TPA claims adjusters, internal customers, and vendors on regular basis to serve as advocate, liaison, mediator, resource & problem solver
• Prepare, coordinate & present claim reviews, risk analysis, status spreadsheets and other claim meetings as requested
• When coverage issues arise, will research potential solutions through a review of client’s policies and then advocate on client's behalf with carrier
• Participate with or without sales executives in presentations to current clients, prospects, proposals, and RFP presentations
• Documentation and diary maintenance on key claims in Sagitta and ImageRight
• Function as back-up for other WC Claims Team members
• Provide assistance to clients seeking to enhance their return-to-work programs and light duty return to work opportunities
• Provide claims management training, “WC 101” to clients to educate them on the claims process.
• Strong attention to detail, dependability, and ability to follow through on tasks.
• Proficiency in Sagitta, ImageRight, claims functions, carrier websites, and MS Office (Word, Excel, Outlook, PowerPoint)
• Excellent oral and written communication skills, including public speaking and presenting to groups.
• Washington and/or Oregon Agent’s License with at least 5 years of experience in commercial, personal multiline, and workers' compensation claims
• Expertise in complex loss analysis and commitment to continued insurance education (e.g., INS, AIC, SCLA, CPCU, CCM)